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LABORATORY RESULTS Rosario District Hospital Rosario, La Union CLINICAL LABORATORY TEST REPORT URINALYSIS Name of Patient: X Age/Sex:

13/M Address: Sison, Pangasinan Date: 1-26-13 Requesting Physician: Dr. Fe Ward: ER PHYSICAL AND CHEMICAL Color: dark yellow Transparency: slightly turbid Sugar: negative Protein: positive one pH/Reaction: 5 Specific Gravity: 1.030 MICROSCOPIC FINDINGS Pus cells: 4-6/hpf Red cells: 0-1/hpf Epithelial Cells: rare/lpf Mucuos threads: moderate/lpf Amorphous Urates: /lpf Amorphous PO4: /lpf Bacteria: /hpf Yeast Cells: /hpf Trichomonas: /hpf CAST Hyaline: /lpf Fine Granular: /lpf Coarse Granular: 3-7/lpf Crytals: /lpf Uric Acid: /lpf Ca. Oxalate: /lpf Triple PO4: /lpf

INTERPRETATION: One of the most commonly performed tests during a hospitalization is a urinalysis. This test is performed by examining urine to analyze the content and chemical makeup. In the above laboratory findings, it shows that the color of urine is dark yellow which means dehydration. Specific gravity determines how concentrated the urine is. Since the patient is dehydrated, elevation is evident from the normal value of 1.015-1.025. Presence of protein in the urine may indicate that there is a problem with kidney function. Significantly high or low from the normal of pH may also indicate an issue with the kidneys.

Rosario District Hospital Rosario, La Union CLINICAL LABORATORY TEST REPORT HEMATOLOGY Name of Patient: X Age/Sex: 13/M Address: Sison, Pangasinan Date: 1-26-13 Requesting Physician: Dr. Fe Ward: ER TEST NORMAL VALUE RESULT WBC RBC Adult: 5-10x10 9/L Infant: 10-25x10 9/L 3.10x10 9/L 5x10 12/L

Male: 4.5-6.5x10 12/L Female: 3.9-5.6x10 12/L DIFFERENTIAL COUNT Neutrophils 40-70 % Lymphocytes 20-40 % Monocytes 2-10 % Eosinophils 1-6 Basophils 0-1 Bands 0-7 Hematocrit Male: 0.40-0.54 Female: 0.36-0.47 Hemoglobin Male: 135-180 g/L Female: 115-164 g/L Platelet Count 150-450x10 9/L Reticulocyte Adult: 0.2-2 % Infant: 2-6 % E.S.R Male: 0-9 mm/hr Female: 0-20 mm/hr Clotting Time 1-4 minutes Bleeding Time 2-4 minutes

31 52 17

0.60 200 90x10 9/L

INTERPRETATION: Hematology is an important information about the kinds and numbers of cells in the blood. White blood cells protect the body against infection. If an infection develops, white blood cells attack and destroy the bacteria, virus, or other organism causing it. In the result, reduction of it shows inability of the immune system to fight/destroy infection. White blood cell types (WBC differential). The major types of white blood cells are neutrophils, lymphocytes,

monocytes, eosinophils, and basophils. Result shows decrease neutrophils which may indicate infections; such as typhoid, hepatitis, influenza, measles, mumps, rubella. Increase lymphocytes is caused by infections; pertussis, syphilis, tuberculosis, hepatitis, mumps and immune diseases. Monocyte increased by nfections; subacute bacterial endocarditis, tuberculosis, hepatitis, malaria collagen vascular disease; systemic lupus erythematosis, rheumatoid arthritis, carcinomas; monocytic leukemia, lymphomas Each type of cell plays a different role in protecting the body. The numbers of each one of these types of white blood cells give important information about the immune system. Too many or too few of the different types of white blood cells can help find an infection, an allergic or toxic reaction to medicines or chemicals, and many conditions, such as leukemia. The hematocrit measures percentage by volume of packed red blood cells in a whole blood sample. Dehydration is one one of the common indication of increased level. The hemoglobin molecule fills up the red blood cells. It carries oxygen and gives the blood cell its red color. The hemoglobin test measures the amount of hemoglobin in blood and is a good measure of the blood's ability to carry oxygen throughout the body. Increase in value may indicate anemia or hemmorhage. Platelets (thrombocytes) are the smallest type of blood cell. They are important in blood clotting. When

bleeding occurs, the platelets swell, clump together, and form a sticky plug that helps stop the bleeding. There are too few platelets in the result which uncontrolled bleeding may be a problem.

Rosario District Hospital Rosario, La Union CLINICAL LABORATORY TEST REPORT SEROLOGY Name of Patient: X Age/Sex: 13/M Address: Sison, Pangasinan Date: 1-27-13 Requesting Physician: Dr. Fe Ward: ER DENGUE DOT TEST Specimen: blood Result: IgM and IgG positive

INTREPRETATION: Serology is the analysis of the contents and properties and reactions of serums, especially blood serum. An immunoglobulin test measures the level of certain immunoglobulins, or antibodies, in the blood. Antibodies are proteins made by the immune system to fight antigens, such as bacteria, viruses, and toxins. Immunoglobulin G (IgG), the most abundant type of antibody, is found in all body fluids and protects against bacterial and viral infections. Immunoglobulin M (IgM), which is found mainly in the blood and lymph fluid, is the first to be made by the body to fight a new infection IgM- and IgG-capture ELISAs are widely used as diagnostic tests for confirmation of dengue virus infection. The positive result of IgG antibody may indicate

a current or past infection while IgM positive indicates current or recent infection.

Rosario District Hospital Rosario, La Union CLINICAL LABORATORY TEST REPORT HEMATOLOGY Name of Patient: X Age/Sex: 13/M Address: Sison, Pangasinan Date: 1-27-13 Requesting Physician: Dr. Fe Ward: ER TEST NORMAL VALUE RESULT Platelet Count 150-450x10 9/L 83x10 9/L

INTREPRETATION: Still in the second day of the patients hospitalization, decreased platelet is a major problem. Risk for bleeding or presence of bleeding should be intervened for the platelet to be normalized.

Rosario District Hospital Rosario, La Union CLINICAL LABORATORY TEST REPORT HEMATOLOGY Name of Patient: X Age/Sex: 13/M Address: Sison, Pangasinan Date: 1-28-13 Requesting Physician: Dr. Fe Ward: ER TEST NORMAL VALUE RESULT Platelet Count 150-450x10 9/L 73x10 9/L

INTREPRETATION: Dengue fever can cause thrombocytopenia by direct infection of bone marrow megakaryocytes, as well as

immunological shortened platelet survival as evidence of decreased platelet count.

Rosario District Hospital Rosario, La Union CLINICAL LABORATORY TEST REPORT HEMATOLOGY Name of Patient: X Age/Sex: 13/M Address: Sison, Pangasinan Date: 1-29-13 Requesting Physician: Dr. Fe Ward: ER TEST NORMAL VALUE RESULT Platelet Count 150-450x10 9/L 96x10 9/L

INTREPRETATION: Four days of decreased platelet. Bleeding precautions should be instituted to the patient and to his significant other. There may be bruising, particularly purpura in the forearms, petechia (pinpoint hemorrhages on skin and mucous membranes), nosebleeds and/or bleeding gums.

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